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Review of Chiropractic and ADHD

This aticle is a review of recent research done on children with ADHD and affectiveness of chiropractic. This study is disigned to answer questions between the relationship of NET technique and chiropractic.

Review of: A randomized controlled trial of the Neuro Emotional Technique (NET) for childhood Attention Deficit Hyperactivity Disorder (ADHD): a protocol

 

Authors: Fay Karpouzis,Henry Pollard, and Rod Bonello

Department of Health and Chiropractic,University,Sydney, 2109, Australia

Macquarie Injury Management Group (MIMG), Macquarie University, Sydney, 2109,

This is an Open Access article distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/2.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published online 2009 January 27. doi: 10.1186/1745-6215-10-6.

Copyright © 2009 Karpouzis et al; licensee BioMed Central Ltd.

From The Abstract

Introduction:

This is a chiropractic study that is< “A placebo controlled, double blind randomized clinical trial was designed to assess the effectiveness of NET on a cohort of children with medically diagnosed ADHD”. This is a study of chiropractors focused on specific technique, “The Neuro Emotional Technique (NET), a branch of Chiropractic, was designed to address the biopsychosocial aspects of acute and chronic conditions including non-musculoskeletal conditions. Anecdotally, it has been suggested that ADHD may be managed effectively by NET.”

Design / Methods:

The study reports: 60-65% of adults use alternative treatment for these children.  The population used in this experiment was 93 children. This children in the age group of 5-12 yrs old.

Discussion:

“The present study should provide information as to whether the addition of NET to an existing medical regimen can improve outcomes for children with ADHD.”

Highlights

Dr. David Smaldone BS, D.C.

1) Medical evidence supports a multidisciplinary approach (i.e. pharmacological and psychosocial) for children and adolescents diagnosed with ADHD for the best clinical outcomes [1, 3 ,7 ,8 ,26 -32 ]. In fact, certain studies have shown that the multidisciplinary approach produces additional benefits in that there is greater satisfaction amongst parents and teachers as this approach leads to lower medication dosages for these children [29 ,33 ]. It is well established that ADHD is a multi-factorial disorder, having both psychological and social components, that can have negative outcomes if not diagnosed and managed effectively [1,7 8 ,26,34 -36].

2)Often you see people participating in chiropractic or other research experiment with out any experience; However the chiropractic participant practitioners did have 4 training sessions over two years and passed each certification course’s in a  2 yr time phrame

3) The rating scales for the children where: “Of the 14 subscales described in the CPRS-R:L and the 13 subscales described in the CTRS-R:L, two were chosen as primary outcome measures (POMs) and three were chosen as secondary outcome measures (SOMs). Primary outcome measures included Conners' ADHD Index and Conners' Global Index Total subscales H and K respectively. The secondary outcome measures included DSM-IV:Inattentive, DSM-IV:Hyperactive-Impulsive and DSM-IV:Total, subscales L, M, and N respectively.”

4) The two major outcome assessments after NET chiropractic care where the Conner ADHD Index (primary assessment) and The DSM-IV:Inattentive subscale (Secondary assessment)

5) During treatment there were three groups of children being treated by a chiropractor: “…groups A, B, & C (i.e. group A-sham, group B-treatment, and group C-control)”

6)“ The participants in groups A and B attended a clinical facility for the first month and received eight treatments (two treatments per week) for approximately 15–20 minute sessions. Then, they were scheduled for another six treatments over the next six months (i.e. one treatment per month). Group C, the control group, consisted of children who continued with their existing ADHD treatment regimen as prescribed by their pediatrician, clinical psychologist and/or medical doctor.”

7) Analysis of the chiropractor will be by two different processes’: “ The primary analysis will compare outcomes for each primary and secondary outcome measure between the three groups (treatment, sham and control) using the Restricted Maximum Likelihood (REML) in GenStat 10th Edition [69], to estimate treatment effect with 95% CI.”

8) The results are not in yet for the chiropractic NET community and the world. But we will keep the public informed of all changes to the results

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